| NPI | 1700107026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05477500) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-12-12000) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2013-07-31 |