| NPI | 1063730422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06850) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 019985) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2015-02-10 |