| NPI | 1295267169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL PB0317364833) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2020-06-05 |