| NPI | 1154043743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7152001209) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-09-08 |