| NPI | 1881737492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 3893) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA R-20957) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2025-01-23 |