| NPI | 1285910638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 005002) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2016-12-01 |