NPI | 1235376997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-11-8515) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00572200) |
235Z00000X Speech-Language Pathologist, (Licence: NY 018241) | |
Enumeration Date | 2009-01-16 |
Last Update Date | 2022-03-16 |