| NPI | 1518286004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 11313237) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076738) |
| Enumeration Date | 2010-05-23 |
| Last Update Date | 2014-08-27 |