| NPI | 1538624846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 7268-154) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WI L600-2119-7701-09) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2026-05-14 |