| NPI | 1073135489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: OK SLPA319) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK BACB570299) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2026-04-13 |