| NPI | 1457243099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 26757) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-50143) |
| 235Z00000X Speech-Language Pathologist, (Licence: IA 115659) | |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |