| NPI | 1356650014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106306) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2021-05-13 |