| NPI | 1922661735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 16297) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-05-26 |