| NPI | 1902547722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 8340) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 105447800) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-06-10 |