| NPI | 1427546258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-17-32373) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2022-06-01 |