| NPI | 1215074745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 9260) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-10-7683) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-10-02 |