| NPI | 1205251519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-32169) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: ME SAS2290) |
| Enumeration Date | 2014-02-23 |
| Last Update Date | 2018-09-25 |