| NPI | 1144778184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 94462151) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH007506) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2026-06-03 |