| NPI | 1710459102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ BACB351935) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-18-32763) |
| Enumeration Date | 2018-12-22 |
| Last Update Date | 2021-04-26 |