| NPI | 1346870904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 120415) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2022-10-04 |