| NPI | 1518561273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12443) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT20140697) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2024-12-19 |