| NPI | 1215539903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 46004637A) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-20-140490) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2025-01-31 |