| NPI | 1952783508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 17660) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-06-12 |