| NPI | 1245595107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA Sp4303) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-09-6392) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |