| NPI | 1447502778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-21-52057) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2021-11-17 |