| NPI | 1063869659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-16-13148) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12625) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2025-06-24 |