| NPI | 1275863110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1063195) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1041612) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 47y500613400) | |
| 174400000X Specialist (Licence: NJ 46TR00359300) | |
| 174400000X Specialist (Licence: NJ 46TR00021900) | |
| Enumeration Date | 2009-12-27 |
| Last Update Date | 2010-02-09 |