| NPI | 1447438742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1024) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 4550) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2019-08-20 |