NPI | 1003176181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA 14209) |
Additional Taxonomies | 103K00000X Behavior Analyst |
235Z00000X Speech-Language Pathologist (Licence: FL SZ7002) | |
Enumeration Date | 2012-05-22 |
Last Update Date | 2016-07-21 |