| NPI | 1265973341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20-117391) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12902) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2025-09-29 |