NPI | 1225513716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7152000240) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-10-01 |
Last Update Date | 2022-06-07 |