NPI | 1992821987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist (Licence: LA 12103667) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 4627) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2024-08-01 |