NPI | 1336339605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA 6164) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-04-1862) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2011-03-28 |