NPI | 1588372932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-22-61925) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CO 24391950) |
Enumeration Date | 2022-11-14 |
Last Update Date | 2022-11-14 |