| NPI | 1154197044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA15936) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2025-02-19 |