| NPI | 1710014337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-12-11794) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 2846) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-05-24 |