| NPI | 1801471099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3943) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS RBT-21-157925) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2026-05-01 |