NPI | 1932723657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11725) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12122) |
106S00000X Behavior Technician | |
Enumeration Date | 2020-05-29 |
Last Update Date | 2024-08-14 |