NPI | 1437782596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TP223-099) |
Additional Taxonomies | 103K00000X Behavior Analyst |
103TS0200X Psychologist, School (Licence: NJ 1097433) | |
Enumeration Date | 2020-02-18 |
Last Update Date | 2023-05-04 |