| NPI | 1952978660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204001059) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA 19-102155) |
| 106S00000X Behavior Technician (Licence: VA RBT-19-102155) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-08-09 |