| NPI | 1720358955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 018703-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-09-6211) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-09-05 |