| 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 | 2009-04-08 |