| NPI | 1790808244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-188) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003466A) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2018-09-26 |