| NPI | 1508178013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 010008-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-10-6887) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |