| NPI | 1629223516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 016810) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-11-9401) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2018-11-01 |