| NPI | 1871030817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000547) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007683) | |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2023-03-07 |