| NPI | 1821697129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 5871) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2022-09-30 |