| NPI | 1306337969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ slpa11183) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ BACB1260448) |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2026-05-28 |