| NPI | 1902451628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 219) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1928) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2023-07-03 |