| NPI | 1700628476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 1195-140) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WI 6503-54) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |