| NPI | 1306010459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NH 0784) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 242) |
| 103K00000X Behavior Analyst (Licence: 1-07-3292) | |
| 235Z00000X Speech-Language Pathologist (Licence: MA 6723) | |
| Enumeration Date | 2008-04-19 |
| Last Update Date | 2023-07-10 |