| NPI | 1033404009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI1892) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-15-01832) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2018-04-10 |