| NPI | 1720459092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016354) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2022-04-08 |