NPI | 1063956514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001383) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2016-12-16 |
Last Update Date | 2023-02-01 |