NPI | 1871829465 |
---|---|
Former Name | BRIANNA TATEKAWA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-81) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-1016) |
Enumeration Date | 2009-11-02 |
Last Update Date | 2020-08-05 |