| NPI | 1134565880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21773) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10439) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2023-09-11 |