| NPI | 1619487717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56743) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11908) | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2024-09-28 |