| NPI | 1023836293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: MO 2025028375) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-24-380621) |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2025-07-11 |