NPI | 1356464606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9838) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018660-1) |
222Q00000X Developmental Therapist (Licence: FL SA9838) | |
Enumeration Date | 2007-04-09 |
Last Update Date | 2014-07-31 |