| NPI | 1043525611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 01695) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2010-08-08 |