NPI | 1932465986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114204) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-14-16142) |
103K00000X Behavior Analyst (Licence: TX 3351) | |
235Z00000X Speech-Language Pathologist, (Licence: NY 021474-1) | |
Enumeration Date | 2012-04-04 |
Last Update Date | 2022-09-11 |