| NPI | 1134696859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 031795) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 6577) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2026-01-08 |