| NPI | 1639696933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI LBA152) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP1081) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |