| NPI | 1720768617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44sl05066000) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2024-08-01 |