| NPI | 1073203766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VT 146.0120755) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0114683) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |