NPI | 1164717872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20763) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10264) |
222Q00000X Developmental Therapist | |
2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2182) | |
Enumeration Date | 2011-06-10 |
Last Update Date | 2022-10-06 |