| NPI | 1295243814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10420) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2021-10-03 |