| NPI | 1669745444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 19618) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-11-8797) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2024-08-09 |