NPI | 1780901777 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-03-1143) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ YS002404) |
Enumeration Date | 2010-04-29 |
Last Update Date | 2010-04-29 |