NPI | 1720518822 |
---|---|
Former Name | CHRISTA MARIE TOTTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27812) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-06-13 |
Last Update Date | 2019-01-17 |