| NPI | 1780208702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 230060) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2024-04-09 |