| NPI | 1013229673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 1-10-7242) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 09138092) |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2010-07-11 |