| NPI | 1174195069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22516) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2026-09-02 |