| NPI | 1740991058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 1338560303) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-22-237177) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2025-07-22 |