| NPI | 1720721467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ BACB405234) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NJ RBT-21-157952) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-09-05 |