| NPI | 1194343871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11216) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-126911) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2591) | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2023-05-25 |