NPI | 1134775323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10571) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2019-08-13 |
Last Update Date | 2022-03-08 |