| NPI | 1639403819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 020410-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 332315091) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2024-04-17 |