| NPI | 1780286336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005821) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK BACB608426) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2024-04-18 |