| NPI | 1538664875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008002) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001938) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-12-12 |