| NPI | 1629685292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9864) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-26-522993) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2026-03-18 |