| NPI | 1215471339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114989) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2019-01-29 |