| NPI | 1194443705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI5463) | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-22 |