NPI | 1053969949 |
---|---|
Former Name | HANNAH BURTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006394) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: MI 0-15-6771) |
Enumeration Date | 2019-09-03 |
Last Update Date | 2019-09-03 |