| NPI | 1295301703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-21-49226) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ BACB496588) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-09-01 |