| NPI | 1730532110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11392) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL BCBA-1-20-42152) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2024-03-29 |