| NPI | 1437898517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 81-2867213) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: NJ J93780367857914) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |