| NPI | 1073752630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4237) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 8420934-2506) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2020-03-18 |