| NPI | 1235484171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5678) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-02-0892) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-11-29 |