NPI | 1285722538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8085) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA 8085) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2024-01-12 |