NPI | 1700321692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-3999) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-16-23474) |
Enumeration Date | 2016-12-30 |
Last Update Date | 2024-07-18 |