| NPI | 1649937723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-22-62620) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NJ RBT-20-124844) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2023-05-25 |