| NPI | 1962993014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 033233) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 1-26-87161) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2026-02-10 |