| NPI | 1164948931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: FL SI2893) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-09-18 |