| NPI | 1255570719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-70169) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 13213) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9808) | |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2024-03-19 |