| NPI | 1104656271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL 7450) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2025-07-25 |