| NPI | 1316460694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78314) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |