NPI | 1316395494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7924) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 15-06806) |
Enumeration Date | 2016-05-30 |
Last Update Date | 2017-05-11 |