| NPI | 1659652899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-15-19129) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010641) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2016-05-02 |