| NPI | 1548675283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA 150) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7155) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2021-05-27 |