| NPI | 1497937031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1109) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2013-01-07 |