| NPI | 1811366347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 088722877) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1275) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2021-09-08 |