NPI | 1205301652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-67299) |
Enumeration Date | 2018-10-11 |
Last Update Date | 2022-09-16 |