NPI | 1407193980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14005) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008426) |
222Q00000X Developmental Therapist (Licence: FL SA14005) | |
Enumeration Date | 2013-01-03 |
Last Update Date | 2016-09-22 |