| NPI | 1174180392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 235Z00000X Speech-Language Pathologist, (Licence: CA RPE13313) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 29601) | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2022-10-13 |