| NPI | 1346566502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2803) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-16-22612) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2016-08-22 |