| NPI | 1992188478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AK 100010) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 105335) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2016-01-22 |