NPI | 1457678476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-03-1293) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL04851800) |
Enumeration Date | 2010-04-30 |
Last Update Date | 2010-04-30 |