| NPI | 1588939102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-08-4732) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 8627) |
| 103TS0200X Psychologist, School (Licence: FL 1001170) | |
| 103TS0200X Psychologist, School (Licence: NJ 00357584) | |
| 104100000X Social Worker (Licence: NJ SW 47601) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2014-12-05 |