| NPI | 1174032031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA-20455) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 9125) |
| 103K00000X Behavior Analyst (Licence: FL 1-20-43634) | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2025-10-12 |