| NPI | 1992365373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 6154) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK RBT-19-89979) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-03-20 |