| NPI | 1548881147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ TSLP14822) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2023-09-29 |