| NPI | 1851339964 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7688) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-02-0790) | 
| Enumeration Date | 2006-06-02 | 
| Last Update Date | 2019-05-16 |