| NPI | 1417248535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 1501792211) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 496682111) |
| 103K00000X Behavior Analyst (Licence: NY 496681111) | |
| 174400000X Specialist (Licence: 496682111) | |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2021-09-15 |