NPI | 1780048546 |
---|---|
Professional Name | DECEMBER FREDERICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 35413) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2016-04-07 |
Last Update Date | 2021-07-20 |