| NPI | 1144267592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 045) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: KS 2135) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-05-30 |