| NPI | 1982262036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002339) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-12-05 |