| NPI | 1407279516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT #003364) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY #000489-1) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2020-09-17 |