| NPI | 1184190894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 6452) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-67023) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2021-06-17 |