NPI | 1124646880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013145) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-21-12733) |
235Z00000X Speech-Language Pathologist, (Licence: NM SAH-2024-0265) | |
Enumeration Date | 2020-07-09 |
Last Update Date | 2024-08-26 |