NPI | 1609768753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI8127) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-25-452075) |
Enumeration Date | 2025-07-15 |
Last Update Date | 2025-08-14 |