| NPI | 1730545666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 32129) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA e2998161) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2023-03-22 |