| NPI | 1255593547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102715) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1079) |
| 103K00000X Behavior Analyst (Licence: OK 1-09-5783) | |
| 103K00000X Behavior Analyst (Licence: TX 1-09-5783) | |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 3561) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2023-04-18 |