| NPI | 1104612506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 027017) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 002621) |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |