NPI | 1891349775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-24-78307) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 40915) |
Enumeration Date | 2019-07-29 |
Last Update Date | 2025-02-07 |