| NPI | 1902586241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 3051798) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 3051798) |
| 103K00000X Behavior Analyst (Licence: NY 3051798) | |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-08-22 |