| NPI | 1306534227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SI7061) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-169900) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2024-06-17 |