| NPI | 1629213251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 012367-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-06-2803) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |