| NPI | 1770941387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 24996) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2020-01-24 |