| NPI | 1467745083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-14-17158) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11516) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2022-04-06 |