| NPI | 1033484522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06572) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD 039) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2016-07-14 |