| NPI | 1801186226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 12104020-4102) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA7196) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2021-02-04 |