NPI | 1366636078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8944) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2007-09-05 |
Last Update Date | 2024-07-16 |