| NPI | 1942657093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202002764) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 133000604) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2023-03-22 |