| NPI | 1144865569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003176) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-19-104978) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2024-07-24 |