NPI | 1346806387 |
---|---|
Former Name | CHRISTINA RENEE ROBERTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119801) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-05-15 |
Last Update Date | 2024-05-07 |