| NPI | 1205492774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MI 7101008906) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: MI 7402000156) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2025-05-09 |