NPI | 1568756146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 12097818) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1107796) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2011-06-01 |