| NPI | 1093355422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 38603) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2025-08-20 |