| NPI | 1487096202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004659) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0134000035) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |