| NPI | 1720310303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026509) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1095079) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2024-11-21 |