| NPI | 1487892667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103572) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1423) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2021-04-22 |