| NPI | 1699208769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11956) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-15-09216) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-06-17 |