| NPI | 1518605211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |