NPI | 1316065931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2660) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA2660) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2008-05-22 |