| NPI | 1518518497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA SI70034701) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2025-08-18 |