| NPI | 1578806162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9403) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2654) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2019-11-06 |