| NPI | 1851960736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ13230) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 20-130758) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2026-03-16 |