NPI | 1164024279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008821) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-11-13 |
Last Update Date | 2024-06-26 |