| NPI | 1114041613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-62671) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP6138) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-11-21 |