| NPI | 1952589582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 24779) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3774) |
| 103K00000X Behavior Analyst (Licence: OK 1-20-46050) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA16808) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2021-12-21 |