| NPI | 1861730475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 023546) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 9213098) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2016-02-20 |