NPI | 1194783449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA4861) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
172V00000X Community Health Worker | |
374U00000X Home Health Aide | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2008-02-05 |