| NPI | 1720116882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 1116) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MT psy-ba-lic-2492) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-01-31 |