| NPI | 1225195183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA SP 3002) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-11-8110) |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-06-17 |