| NPI | 1386770964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2013028552) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 114517) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-08-05 |