NPI | 1194843631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001282) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000035) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2016-01-11 |