| NPI | 1982123352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-23-68446) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NY 1166051171) |
| Enumeration Date | 2017-09-16 |
| Last Update Date | 2025-10-07 |