| NPI | 1750993044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA13134) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-20-131451) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2021-06-24 |