NPI | 1275093619 |
---|---|
Former Name | BAYLEIGH HESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7968) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2019-03-21 |
Last Update Date | 2023-09-26 |