NPI | 1952829939 |
---|---|
Former Name | SARAH BALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101007368) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-08-30 |
Last Update Date | 2024-03-04 |