| NPI | 1891521019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 3079083) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-21 |