NPI | 1508341215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 34200) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-63337) |
235Z00000X Speech-Language Pathologist, (Licence: CA 16077) | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2018-09-27 |
Last Update Date | 2023-10-27 |