| NPI | 1932723657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11725) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12122) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2024-08-14 |