NPI | 1003426263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 34668) |
Additional Taxonomies | 106S00000X Behavior Technician |
2355S0801X Specialist/Technologist, Speech-Language Assistant | |
235Z00000X Speech-Language Pathologist, (Licence: CA 16530) | |
Enumeration Date | 2020-08-03 |
Last Update Date | 2023-02-01 |