| NPI | 1780809335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 2212) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2012-04-10 |