NPI | 1255983680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14452545) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-07-16 |
Last Update Date | 2023-08-29 |