NPI | 1952089187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL S17831) |
106S00000X Behavior Technician (Licence: FL RBT-23-28263) | |
Enumeration Date | 2023-07-07 |
Last Update Date | 2025-09-19 |