| NPI | 1326517863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 117987) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-63549) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2022-03-11 |