| NPI | 1093370579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC01151000) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NJ RBT-15-09758) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2025-06-11 |