| NPI | 1801088927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 4368) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2016-02-11 |