| NPI | 1114557238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 30002039) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 235Z00000X Speech-Language Pathologist (Licence: MA SLP96233) | |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2025-03-17 |