| NPI | 1922139443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 19168) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-02-0778) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2009-03-16 |