NPI | 1871684399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PR 1-16-21946) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 456) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2024-01-23 |