NPI | 1942725171 |
---|---|
Former Name | MAGGIE (MAGS) FRAZIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 17511) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-08-09 |
Last Update Date | 2022-07-29 |