| NPI | 1184108987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9705) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0156806) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2021-03-23 |