| NPI | 1609464577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-20-41137) |
| Additional Taxonomies | 101Y00000X Counselor |
| 174400000X Specialist | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-11-03 |