| NPI | 1215480157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB60765083) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2021-03-04 |