| NPI | 1780160861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18121) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2023-11-29 |