| NPI | 1194230029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL 2861) | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2024-05-09 |