| NPI | 1326583600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-5867) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-16-7033) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2024-03-15 |