| NPI | 1801132741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 015495) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 1-07-3730) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |