| NPI | 1912531740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 048529-1) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: NY 048529-1) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |