NPI | 1144267592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 045) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2135) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2019-05-30 |