| NPI | 1164795316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 023180) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-10-7776) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 3814) | |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2019-08-05 |