| NPI | 1942836853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 02591) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-20-115770) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2022-08-30 |