| NPI | 1134631658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-18-65042) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12510) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2025-03-13 |