| NPI | 1861809840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000341) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008117) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2023-05-15 |