| NPI | 1639910995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK RBT-25-433109) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-05-02 |