| NPI | 1366997967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000053-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020486-1) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |