| NPI | 1770943664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001240) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 023659) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2020-02-06 |