| NPI | 1871789107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-43717) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12615) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2021-10-06 |