| NPI | 1710377809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 32641) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012431) | |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2026-09-28 |