| NPI | 1902263965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IA 095620) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2019-06-05 |