| NPI | 1053716027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: NJ BACB585797) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2022-04-13 |