| NPI | 1770981854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 3542) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 869) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2022-10-19 |