| NPI | 1982305876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI6185) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-303198) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2024-01-11 |