NPI | 1588172431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19209) |
Additional Taxonomies | 106S00000X Behavior Technician |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ9390) | |
Enumeration Date | 2018-01-12 |
Last Update Date | 2022-03-24 |