| NPI | 1538331970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-16-21348) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00483700) |
| 103T00000X Psychologist (Licence: PA PS016226) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2019-08-13 |