NPI | 1609199082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5642) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC 1-12-10059) |
Enumeration Date | 2010-03-12 |
Last Update Date | 2016-02-18 |