NPI | 1760758841 |
---|---|
Former Name | ARLENE JOY LAVILLA LEBRILLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17391) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-10-7088) |
Enumeration Date | 2012-03-22 |
Last Update Date | 2022-11-22 |