| NPI | 1538755335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9699) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA 011784588) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2025-07-01 |