| NPI | 1275695736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 5027) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA L-143) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-01-24 |