| NPI | 1881718054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MD 08841) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-16-7587) |
| 235Z00000X Speech-Language Pathologist (Licence: GA SLP010161) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-09-26 |