NPI | 1346566502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2803) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-16-22612) |
Enumeration Date | 2010-04-13 |
Last Update Date | 2016-08-22 |