| NPI | 1639429764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-20949) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12561) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2024-08-12 |