| NPI | 1912625005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ RBT-22-218192) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2025-01-10 |