| NPI | 1336030162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9828) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-18 |