| NPI | 1528625258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-39987) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11208) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-05-10 |