| NPI | 1477338952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 9795) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-23-290026) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2026-09-24 |