| NPI | 1689051344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: AZ SLPA10316) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2016-11-07 |