| NPI | 1023360401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019833) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 19833) |
| 103K00000X Behavior Analyst (Licence: PA 1-11-9692) | |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2023-07-07 |