NPI | 1497328066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA23052) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-07-21 |
Last Update Date | 2024-10-16 |