| NPI | 1366815946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-20-42046) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 0-14-6097) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2020-06-16 |