| NPI | 1194265918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 14523) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2023-08-10 |