| NPI | 1578807467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 014560) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-00-0002) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |