NPI | 1619472669 |
---|---|
Entity Type | Organization |
Authorized Contact | MALLORY GONYER Founder 210-541-2860 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-18128) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 71038) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2022-11-29 |