NPI | 1275666331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9972) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
104100000X Social Worker | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2011-12-08 |