| NPI | 1417532185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 6592345-4102) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 6592345-2506) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2023-10-25 |