| NPI | 1952548463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 8606) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA BCBA #1-08-4850) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |