| NPI | 1235685678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110746) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3182) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2020-04-06 |