| NPI | 1669032272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 6396) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2021-03-31 |