NPI | 1285753905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12976) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 5763) |
222Q00000X Developmental Therapist | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2015-02-17 |