| NPI | 1659886299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-22-57540) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2022-07-06 |