| NPI | 1376926501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-18-29643) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 0-15-6443) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-04-06 |