| NPI | 1932787736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI RBT-20-147976) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-07-14 |