| NPI | 1821006479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 3012) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-05-22 |