| NPI | 1689133654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-23168) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06107100) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2022-09-16 |