| NPI | 1124591227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 032515) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-19-75569) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2025-04-29 |