| NPI | 1750516365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 5687) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 279) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2021-02-18 |