| NPI | 1770214108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: MD 00208L) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2025-01-20 |