| NPI | 1487145603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-17-45301) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2020-09-02 |