| NPI | 1013615905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |