NPI | 1639256381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 3668) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2006-11-01 |
Last Update Date | 2024-05-28 |