| NPI | 1053889337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL07210700) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2025-01-02 |