| NPI | 1912385907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA vanvuka077lw) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2019-07-09 |