| NPI | 1902287824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA CG60577463) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2020-08-27 |