| NPI | 1417475120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026647) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2024-08-28 |