| NPI | 1053863076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-48164) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12576) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2025-08-24 |