NPI | 1316635790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.008040) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2023-04-25 |
Last Update Date | 2024-09-04 |