NPI | 1932767100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPA12718) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-06-03 |
Last Update Date | 2021-10-11 |