| NPI | 1932316874 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 46001775A) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-12-11909) | 
| Enumeration Date | 2007-05-17 | 
| Last Update Date | 2013-06-18 |