| NPI | 1952882888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-61848) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2020-08-31 |