NPI | 1144592403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005317A) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 1-24-72228) |
Enumeration Date | 2012-02-02 |
Last Update Date | 2024-07-31 |