| NPI | 1265710701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102842) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-16-22811) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2016-07-12 |