| NPI | 1770218521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NJ RBT222113063) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2022-07-17 |