| NPI | 1649421280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP3004) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-11-8146) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2021-01-19 |