| NPI | 1912495276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 5351) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT1851853) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-08-06 |