NPI | 1255091195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11580) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
2355S0801X Specialist/Technologist, Speech-Language Assistant | |
Enumeration Date | 2021-12-20 |
Last Update Date | 2023-09-08 |