NPI | 1033402193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SZ 7352) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2011-05-24 |
Last Update Date | 2015-10-23 |