| NPI | 1649643529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06353200) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2023-05-15 |