NPI | 1932316874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 46001775A) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-12-11909) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2013-06-18 |