| NPI | 1740889542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP15791) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA15598) |
| 106S00000X Behavior Technician (Licence: AR RBT-19-104088) | |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2025-09-08 |