| NPI | 1417402538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-22846) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 103K00000X Behavior Analyst (Licence: WA BA60808207) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2023-12-21 |