| NPI | 1073166047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 42350) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2023-08-31 |