| NPI | 1376034454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024804) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical (Licence: FL TPPY1464) | |
| 103TC0700X Psychologist, Clinical (Licence: NJ NJDCATEMP-048026) | |
| 103K00000X Behavior Analyst (Licence: 1-21-51095) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-02-19 |