| NPI | 1801303474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 32959) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2023-01-04 |