| NPI | 1659839033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL70046966) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2026-03-03 |