| NPI | 1427628072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4914) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-306600) |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2023-12-26 |