| NPI | 1194233452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 5002) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-03-05 |