NPI | 1215418504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 12353583-4104) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-08-24 |
Last Update Date | 2021-10-06 |