NPI | 1740544584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17359) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-10-6932) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2021-02-02 |