| NPI | 1508389727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 41186) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2019-08-27 |