| NPI | 1811328719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 020710) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-11-8650) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2014-07-24 |