| NPI | 1386124881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00771000) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2024-11-03 |