| NPI | 1508401944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-20-40595) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NJ RBT-16-20413) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2020-02-18 |