| NPI | 1639768211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 4508) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2023-09-19 |