NPI | 1730532110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11392) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL BCBA-1-20-42152) |
Enumeration Date | 2016-07-20 |
Last Update Date | 2024-03-29 |