| NPI | 1780715490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 4947) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA L-180) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2025-04-20 |