| NPI | 1174032031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA-20455) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-20-43634) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-07-14 |