| NPI | 1295473429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9755) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2025-01-06 |