| NPI | 1912665852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL067224800) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2024-09-27 |