NPI | 1497271530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA23621) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-39102) |
Enumeration Date | 2017-08-21 |
Last Update Date | 2025-09-16 |