| NPI | 1497862932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8179) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-14-17381) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-05-27 |