| NPI | 1972249449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI6454) | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2026-05-17 |