| NPI | 1225599053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI6197) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-03-29 |