| NPI | 1477054757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-16-15796) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-03-19 |