| NPI | 1124670849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61469731) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB60954098) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-08-31 |