| NPI | 1740544584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 17359) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-10-6932) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2021-02-02 |