| NPI | 1255042891 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2022-12-05 | 
| Last Update Date | 2024-01-31 |