| NPI | 1275261760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA SLP.LL.70074973) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT2830) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2025-12-17 |