| NPI | 1689027385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9657) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2023-07-25 |