| NPI | 1578140083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 14226864-4101) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-06-13 |