| NPI | 1699156455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-14-177722) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010392) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2017-01-19 |