NPI | 1083842769 |
---|---|
Former Name | OSMARA JUDITH MOREDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10970) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2009-07-01 |
Last Update Date | 2014-09-02 |