| NPI | 1609199082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5642) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC 1-12-10059) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2016-02-18 |