| NPI | 1801366406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000785) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1107) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2021-06-07 |