| NPI | 1467999417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000638) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015814) |
| 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006827) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2023-05-18 |