| NPI | 1619725363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA23510) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-25-85397) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2025-10-31 |