| NPI | 1144844796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: FL SL4361) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-21-53732) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2022-03-25 |