| NPI | 1932619533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-75522) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ12574) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2025-07-08 |