| NPI | 1063011492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0006525) |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2025-07-29 |