| NPI | 1447508601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BACB478525) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12259) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2024-07-05 |