| NPI | 1821687153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA24488) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4922) |
| 106S00000X Behavior Technician (Licence: FL RBT-20-146705) | |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2026-06-22 |