| NPI | 1720332364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11391) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-19-39143) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL 4428) | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2023-09-14 |