| NPI | 1740889542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA15598) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AR RBT-19-104088) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2024-10-15 |