| NPI | 1700159449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 948) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 8125) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2022-05-10 |