| NPI | 1710478631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-56057) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2023-09-13 |