| NPI | 1821112269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103115) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 5728) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-03-23 |