| NPI | 1295141240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004379) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000393) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2024-01-08 |