| NPI | 1174252787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 14299632-4102) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2026-10-07 |