NPI | 1508234899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14744) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7244) |
222Q00000X Developmental Therapist (Licence: FL SA14744) | |
Enumeration Date | 2015-09-03 |
Last Update Date | 2017-02-14 |