| NPI | 1871868513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 36341) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-12-10151) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2023-12-07 |