| NPI | 1689196487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11210) | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2023-05-25 |