| NPI | 1275396590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 14048301) | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-03-18 |