| NPI | 1295894707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: DE 1-13-13637) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE 12082444) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-10-16 |