| NPI | 1760056865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 02839L) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2024-01-30 |