| NPI | 1780118711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004275) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401000516) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2020-07-21 |