| NPI | 1689150450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MO BRT-20-137697) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: MO 2018024704) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2021-02-15 |