| NPI | 1023411881 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: IN 46002644A)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| Enumeration Date | 2014-10-07 | 
| Last Update Date | 2024-02-05 |