NPI | 1467473967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8133) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA 8133) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2015-11-12 |