| NPI | 1720391022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000608) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005994) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2015-08-26 |