NPI | 1841555638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7114) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2012-07-09 |
Last Update Date | 2015-07-09 |