| NPI | 1932828464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: IL 217.000450) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 21184730) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-10-19 |