| NPI | 1093069262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100568300) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-12-11736) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2021-11-04 |