| NPI | 1063957470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 2534) | |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2024-06-11 |