NPI | 1194388272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 528871) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-04-15 |
Last Update Date | 2024-06-03 |