| NPI | 1427587641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-59149) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2024-08-13 |