| NPI | 1134608953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 43105) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 03282) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2023-05-09 |