NPI | 1801471099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3943) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS RBT-21-157925) |
Enumeration Date | 2021-03-10 |
Last Update Date | 2023-08-08 |