| NPI | 1023287240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 11520604) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7187) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2017-01-12 |