| NPI | 1043741648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12042569) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA22048) | |
| 171M00000X Case Manager/Care Coordinator | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-10-14 |