| NPI | 1386313880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA14149) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-21-184050) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2022-10-28 |