NPI | 1255862975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2797) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV 103K00000X) |
Enumeration Date | 2017-03-24 |
Last Update Date | 2022-02-28 |