| NPI | 1871894279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-14-17113) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA L-104) |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 7057) | |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 14060008) | |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2017-11-06 |