| 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 |