NPI | 1326583600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ID SLP-5867) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-16-7033) |
222Q00000X Developmental Therapist | |
Enumeration Date | 2016-12-22 |
Last Update Date | 2024-03-15 |