| NPI | 1265117881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12568) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-279157) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2025-05-08 |