| NPI | 1073607891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 19504) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3686) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-12-20 |