NPI | 1629456744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15080) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA15080) |
Enumeration Date | 2015-05-08 |
Last Update Date | 2022-09-06 |