| NPI | 1952872988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012066) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2022-07-15 |