| NPI | 1174957914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8783) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL PY8783) |
| 235Z00000X Speech-Language Pathologist (Licence: FL SZ12005) | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2024-07-11 |