| NPI | 1326490350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 01265L) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA1725) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2025-01-16 |