| NPI | 1346584455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000686) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR ABA-B-10201518) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA8040) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2021-03-18 |