| NPI | 1174109250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3061) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 113981) |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2021-03-20 |