| NPI | 1386282390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY P116528) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2022-08-05 |