| NPI | 1831853308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: MA SPA100478) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2025-03-12 |