| NPI | 1083961924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP24224) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2016-12-16 |