NPI | 1013355429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20433) |
Additional Taxonomies | 103K00000X Behavior Analyst |
2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI3875) | |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ10390) | |
Enumeration Date | 2013-06-07 |
Last Update Date | 2022-11-10 |