| NPI | 1508363607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SZ13240) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2026-05-20 |