| NPI | 1770842254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 022350-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2018-09-24 |