| NPI | 1063928125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 61206262) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2023-02-26 |