| NPI | 1629361142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IA 1-12-12137) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IA 01558) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2014-06-24 |