| NPI | 1821187212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 235Z00000X Speech-Language Pathologist (Licence: FL SA7792) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-10-21 |