| NPI | 1710102298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 13009) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-10-7860) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-03-17 |