| NPI | 1275233850 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI8258)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-23-261358)  | 
| Enumeration Date | 2023-03-03 | 
| Last Update Date | 2025-09-22 |