NPI | 1316304843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-58361) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6361) |
Enumeration Date | 2016-01-28 |
Last Update Date | 2025-03-14 |