| NPI | 1053997320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA PSL002762) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2025-02-03 |