NPI | 1710239231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 9697) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-11-4135) |
Enumeration Date | 2012-10-08 |
Last Update Date | 2015-06-09 |