| NPI | 1750626909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17905) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-16-21898) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2016-09-18 |