| NPI | 1982053500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL 6994) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2026-09-15 |