| NPI | 1073892410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00517200) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6890) |
| 103K00000X Behavior Analyst (Licence: 1-08-4755) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2021-12-22 |