| NPI | 1871684399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PR 1-16-21946) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PR 456) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-08-15 |