| NPI | 1518532878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9486) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA 011438283) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2025-08-14 |