| NPI | 1821687153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4922) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-146705) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2023-03-28 |