| NPI | 1346882487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4176) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: KS 0039) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2025-07-30 |