| NPI | 1457610826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 021899) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-16-22124) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2024-10-20 |