| NPI | 1508454885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 529018) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2024-10-22 |