NPI | 1679086912 |
---|---|
Former Name | ALEXANDRA KIRBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2017-11-08 |
Last Update Date | 2021-04-19 |