NPI | 1851339964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7688) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-02-0790) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2019-05-16 |