| NPI | 1518079144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 3288) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 1095903) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-04-30 |