| NPI | 1073208328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC0481000) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-09-5682) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |