| NPI | 1548080989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 125022) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 23-289358) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2026-06-04 |