| NPI | 1003294778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17618) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2020-06-30 |