| NPI | 1750872347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL005714L) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-05-20 |
| Last Update Date | 2018-05-20 |