| NPI | 1578040952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100589500) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 12045217) |
| 103T00000X Psychologist | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2023-06-27 |