| NPI | 1033421201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-11-8867) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008850) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 018033) | |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2023-10-11 |