NPI | 1801303474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 32959) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-01-04 |
Last Update Date | 2023-01-04 |