| NPI | 1235376997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-11-8515) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00572200) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 018241) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2022-03-16 |