| NPI | 1437708401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 40633) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 1997238) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2021-01-23 |