| NPI | 1306325659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 17601) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB60872217) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2024-05-22 |