| NPI | 1952855959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00305600) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-13-13764) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |