| NPI | 1659956787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12511) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-129529) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2025-02-21 |