| NPI | 1316304843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-58361) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6361) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2025-03-14 |