| NPI | 1821496373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4633) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2017020770) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2021-08-25 |