| NPI | 1497964894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR BACB732936) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 2316) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-08-02 |