| NPI | 1750566337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 5171) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2133) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2017-10-17 |