NPI | 1508084708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
222Q00000X Developmental Therapist | |
235Z00000X Speech-Language Pathologist, (Licence: KS 218) | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2018-03-28 |