| NPI | 1619166394 |
|---|---|
| Former Name | ABBY TRUMBULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM c-4224) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NM RBT-1740850) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2019-04-30 |