| NPI | 1508000902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4183) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC 1-10-7083) |
| 103K00000X Behavior Analyst (Licence: 1-10-7083) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2012-06-13 |