NPI | 1053967505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 033954) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2019-08-12 |
Last Update Date | 2024-05-28 |