NPI | 1982359253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 122563) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2022-02-15 |
Last Update Date | 2024-06-15 |