| NPI | 1821237439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4614) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2022-07-21 |