NPI | 1073607891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 19504) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3686) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2021-12-20 |