| NPI | 1578826251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000468-1) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 024299-1) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2018-01-19 |