| NPI | 1053620120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 0161410) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-02-0857) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |