| NPI | 1396490744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 122645) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-21-191939) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2025-06-13 |