NPI | 1295322931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ12777) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2020-12-29 |
Last Update Date | 2025-08-12 |