| NPI | 1629654603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-142560) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2026-04-09 |