NPI | 1265203517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11649) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2024-01-15 |
Last Update Date | 2024-06-19 |