| NPI | 1235145707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-13-13750) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 1898) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-10-09 |