| NPI | 1821761792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ Slpa8623) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-06-14 |