| NPI | 1225688542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 37901) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-19-85996) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2023-09-22 |