| NPI | 1457843278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 122861) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 18-56618) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 37447) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2025-11-11 |