| NPI | 1255961116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11862) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-89846) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI5625) | |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2024-04-03 |