| NPI | 1457506735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1202) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 106378) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 006618) | |
| Enumeration Date | 2008-11-30 |
| Last Update Date | 2025-01-21 |