| NPI | 1447768353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7345) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 17-32737) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2022-03-30 |