| NPI | 1710228382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 074198) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1095583) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |