| NPI | 1043659089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10515) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-21-54209) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2021-12-09 |