NPI | 1447767157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003921) |
Additional Taxonomies | 106S00000X Behavior Technician |
235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01170900) | |
Enumeration Date | 2018-01-03 |
Last Update Date | 2025-09-12 |