| NPI | 1043567118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 434735101) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000606) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2022-01-07 |