| NPI | 1528308624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000004588) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 346) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2019-04-05 |