| NPI | 1346604170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021588) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001190) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |