| NPI | 1033762026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-20-45843) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NJ RBT-15-04575) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2020-12-21 |