| NPI | 1568189108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00538400) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-10-7494) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |