| NPI | 1851771604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 46002751A) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-27881) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2018-01-05 |