| NPI | 1356663934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004688) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-09-6613) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2023-10-04 |