NPI | 1457867350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000434) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-12-14 |
Last Update Date | 2018-08-16 |