| NPI | 1245957141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-23-69996) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NJ RBT-21-191043) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2023-12-19 |