| NPI | 1245359447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2319) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-12-11483) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2016-05-28 |