| NPI | 1023590643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1947) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-64141) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2022-04-19 |