NPI | 1487989794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018076) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1052417) |
Enumeration Date | 2009-10-05 |
Last Update Date | 2013-07-25 |