| NPI | 1073354361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 00707) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2343) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |