| NPI | 1942368337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 5847) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2386) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2022-09-29 |