| NPI | 1023507886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: FL SI4893) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2022-11-22 |