| NPI | 1477001105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 024078) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000078-1) |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2021-04-06 |