NPI | 1558928895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 13431) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-05-22 |
Last Update Date | 2019-11-07 |