| NPI | 1770134538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134205) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VT 0-19-10085) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2021-09-27 |