| NPI | 1447875299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ13563) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT20118267) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2026-08-28 |