NPI | 1477980183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 6756) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 6756) |
Enumeration Date | 2013-09-27 |
Last Update Date | 2018-11-26 |