| NPI | 1407176787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 102320) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-13-14461) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2018-07-31 |