| NPI | 1093044208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA 1-10-7637) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 5820) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2014-02-10 |