| NPI | 1740868710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100572) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LABA10001146) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-02-20 |