| NPI | 1164015012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 20146038) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2023-05-05 |