NPI | 1447562087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA11301) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA11301) |
Enumeration Date | 2010-07-12 |
Last Update Date | 2012-05-30 |