NPI | 1649872607 |
---|---|
Former Name | MADELINE ABIGAIL QUINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 120320) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-11-13 |
Last Update Date | 2024-03-07 |