| NPI | 1538614094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8392) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2017-11-10 |