NPI | 1346483286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00385900) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 37PC00385900) |
Enumeration Date | 2009-04-08 |
Last Update Date | 2025-01-12 |