| NPI | 1720552474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 02495L) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2022-11-15 |