| NPI | 1093010555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-18334) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10799) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2024-12-09 |