| NPI | 1477799187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007472) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000558) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2015-03-04 |