| NPI | 1538635412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4368) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-65482) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2020-12-30 |