NPI | 1407394349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: NJ 1-16-21591) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL04994800) |
Enumeration Date | 2017-02-10 |
Last Update Date | 2017-02-10 |