| NPI | 1467026880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 123281) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS RBT-21-168696) |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2025-10-22 |