| NPI | 1598158818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-25-81791) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 859467141) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2025-06-09 |