| NPI | 1962093989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-21-50657) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NJ 19-84404) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-06-27 |