NPI | 1497385520 |
---|---|
Other Name | ENRI YAMASHITA FORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18378) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 18378) |
Enumeration Date | 2020-01-16 |
Last Update Date | 2024-11-10 |