| NPI | 1538727102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4962) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2022-11-04 |