| NPI | 1063728558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 17279) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-10-7216) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2012-03-02 |