| NPI | 1568756146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 12097818) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1107796) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |