| NPI | 1821595075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NV A4224) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-31312) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2025-06-12 |