| NPI | 1598135519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2594) | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2020-07-09 |