NPI | 1467052571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA24034) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-10-28 |
Last Update Date | 2025-10-01 |