| NPI | 1194843631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001282) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000035) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-01-11 |