NPI | 1316383250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12957) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 12154982) |
222Q00000X Developmental Therapist | |
Enumeration Date | 2013-05-20 |
Last Update Date | 2015-04-08 |