| NPI | 1720658263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET004315) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2025-07-03 |