NPI | 1548658172 |
---|---|
Former Name | LAUREN MOSSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 9182) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 3677) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2021-12-09 |