| NPI | 1316458425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 1228) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2019-10-11 |