| NPI | 1780120030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 024844-01) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH001579) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2022-03-28 |