NPI | 1083869267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12722) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018659) |
222Q00000X Developmental Therapist | |
235Z00000X Speech-Language Pathologist, (Licence: FL SA12722) | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2008-12-01 |
Last Update Date | 2022-03-07 |