| NPI | 1245662006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 10587) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-10-7073) |
| Enumeration Date | 2013-08-04 |
| Last Update Date | 2013-08-04 |