| NPI | 1821550583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-78738) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-01-16 |