| NPI | 1972373801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW131199) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-14-9525) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |