NPI | 1285102046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID TSLP-5408) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-69702) |
Enumeration Date | 2018-11-08 |
Last Update Date | 2022-08-23 |