| NPI | 1487920344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 1041C0700X Social Worker, Clinical (Licence: NY 605323121) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |