| NPI | 1780901777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| 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 |