| NPI | 1124646880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013145) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-21-12733) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM SAH-2024-0265) | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2024-08-26 |