| NPI | 1215439633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI-4635) | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2024-02-12 |