| NPI | 1972896199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5265) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 34360) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2022-10-24 |