| NPI | 1639773831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 13489503-4102) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT RBT-20-145192) |
| Enumeration Date | 2020-11-28 |
| Last Update Date | 2024-06-12 |