| NPI | 1548895899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012068) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2026-07-07 |