| NPI | 1457981672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL07165000) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NJ RBT-20-110246) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2024-08-22 |