| NPI | 1013366681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-39245) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA23232) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2026-03-11 |