| NPI | 1306263116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000379) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2202007611) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2015-07-08 |