| NPI | 1295118057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000138) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005649) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-09-10 |