| NPI | 1942694500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1454) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1705013) |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2025-11-07 |