| NPI | 1023756947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: MD 00245L) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2026-02-09 |