| NPI | 1821346131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8476) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2448) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2020-01-13 |