| NPI | 1972076610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 38156) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-75004) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2025-02-03 |