| NPI | 1548500101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-26844) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: AZ SLPA-8126) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2024-01-12 |