| NPI | 1114288263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-09-6555) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA SP 12292) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-28 |