| NPI | 1952776510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2950) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 11518022) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |