| NPI | 1366020190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12887) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL 4958) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-08-25 |