| 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 |