| NPI | 1518616481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 8304) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-96959) |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2023-07-05 |