| NPI | 1386319739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11886) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2024-03-29 |