| NPI | 1285713883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16706) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-19-36932) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-06-27 |