| NPI | 1548807456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 123890) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19101643) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2025-06-17 |