| NPI | 1477790830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-06-2772) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NY 019959-1) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 019959-1) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 019959-1) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 019959-1) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2019-08-08 |