| NPI | 1437508363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 60947757) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2021-05-18 |