| NPI | 1770736696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4199) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 104437) | |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2023-10-02 |