| NPI | 1932540226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006666) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000649) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2024-10-24 |