| NPI | 1376087825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: NJ C0629 06379 52902) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: NJ C0629 06379 52902) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |