| NPI | 1972164325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 20765) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 7357) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-10-06 |