| NPI | 1316532351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: OK SLPA169) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK RBT-21-186829) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-11-18 |