| NPI | 1194802587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-10-7560) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-01-05 |