| NPI | 1336339605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA 6164) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-04-1862) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2011-03-28 |