| NPI | 1144916933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-267932) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ13162) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2026-01-09 |