| NPI | 1609218312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI6160) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-15-01150) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2024-02-19 |