| NPI | 1568868891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-12-1005) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004510) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2019-06-18 |