| NPI | 1497245690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL 2543) | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2019-05-09 |