| NPI | 1871944173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10016) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-15-08538) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2021-04-28 |