NPI | 1699288035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sz9004) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-11-07 |
Last Update Date | 2019-05-20 |