NPI | 1174957914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8783) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL PY8783) |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ12005) | |
Enumeration Date | 2013-08-28 |
Last Update Date | 2024-07-11 |