| NPI | 1740718634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 030807) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 03080) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2022-01-11 |