| NPI | 1689177529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33802) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 16010) | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2023-08-27 |