| NPI | 1508344151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA A65938407) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 36903) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011709) | |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2026-08-12 |