| NPI | 1295237832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016044) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: BACB398423) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2021-08-13 |