NPI | 1134602642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001625) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-09-11 |
Last Update Date | 2025-07-21 |