NPI | 1992076848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 110910) |
1041S0200X Social Worker, School (Licence: MA 110910) | |
Enumeration Date | 2012-01-24 |
Last Update Date | 2015-04-16 |