| NPI | 1275171266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12615) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-72141) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2026-08-27 |