NPI | 1467018150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10945) |
Additional Taxonomies | 106S00000X Behavior Technician |
2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4260) | |
Enumeration Date | 2019-05-17 |
Last Update Date | 2022-10-06 |