| NPI | 1154832152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4126) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2026-02-10 |