| 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 |