| NPI | 1184930646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 10981-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2021-02-26 |