| NPI | 1205301652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-67299) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2022-09-16 |