NPI | 1033436134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10273) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA 10273) |
Enumeration Date | 2010-04-28 |
Last Update Date | 2011-07-18 |