| NPI | 1508245481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-15-01308) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2548) | |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2023-04-04 |