| NPI | 1730331604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 009426-1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000289-1) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2015-10-15 |