| NPI | 1649443987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017029-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-11-8923) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2020-08-12 |