| NPI | 1912286808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1052473) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146001359) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |