NPI | 1407337223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10273) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2018-08-29 |
Last Update Date | 2022-02-21 |